Pediatric Education

NOVEMBER 19, 2023

They felt he was breastfeeding well and had only mild jaundice. His examination was normal and the diagnosis of a well newborn infant was made. mg/dL which was well below treatment threshold. Some infants may need car seat tolerance screening as well. Accessed August 29, 2023. BMC Pediatr. 2021;21(Suppl 1):350.

Infectious Diseases 40

Infectious Diseases Administration Pediatrics Wellness 40

Taming the SRU

JUNE 12, 2023

Accessed April 28, 2023. However, there have been no studies statistically powered well enough regarding dog bite lacerations to confirm or dispute this claim. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America.

Infectious Diseases 101

Infectious Diseases Emergency Department Administration Academics 101

ALiEM

OCTOBER 16, 2023

Additional Images Physical Exam Vitals : BP 115/80; HR 120; T 101°F; RR 16; O2 sat 97% General : Well appearing in no acute distress HEENT : Poor dentition, mild trismus. Treatment should include both an extended course of antibiotic therapy as well as surgical source control of abscesses. The floor of the mouth is unremarkable.

Wellness 60

Wellness Academics Emergency Department Hospitals 60

ALiEM

JANUARY 22, 2024

The patient also complained of shortness of breath for one week associated with a dry cough, as well as an altered sensorium for one day. Copyright Images and cases from the Society of Academic Emergency Medicine (SAEM) Clinical Images Exhibit at the 2023 SAEM Annual Meeting | Copyrighted by SAEM 2023 – all rights reserved.

Documentation/Coding 64

Documentation/Coding Academics Emergency Department Hospitals 64

Pediatric Education

OCTOBER 1, 2023

Non-polio enteroviruses have emerged which cause acute flaccid paralysis as well. ” Currently as of June 2023, there are 35 outbreak countries. Starting in May 2023, a targeted catch-up campaign for polio and measles, mumps and rubella is ongoing in the United Kingdom. List some common vaccine preventable diseases?

Infectious Diseases 40

Infectious Diseases Pediatrics Outcomes Wellness 40

Pediatric EM Morsels

JANUARY 19, 2024

Unfortunately, the possibility of congenital infections always looms large as well, including congenital syphilis. CDC 2023] In 2021, there were over 2800 cases of congenital syphilis, tripled from 2017. We have touched on the treatment for older children with syphilis with Bicillin CR vs LA.

Infectious Diseases 267

Infectious Diseases CDC Pediatrics Fractures 267

ACEP Now

MAY 9, 2024

It has been well over a year since the controversial publication of the Agency for Healthcare Research and Quality (AHRQ) report on diagnostic errors in the emergency department (ED). Similarly elevated rates of error, and related harms, are associated with other serious vascular, infectious disease, and cancer-related diagnoses, as well.

Research 52

Research Emergency Department Infectious Diseases Hospitals 52

Pediatric EM Morsels

OCTOBER 6, 2023

(Forster, 2021) Transmission is by Fecal-Oral route (Chiodini 2018) Incubation period 6-30 days after exposure (Chiodini 2018) Salmonella typhi produces an endotoxin although its clinical significance is not yet well understood (Gibani 2019) Two typhoid vaccines are available for those > 6 m/o and are 50-80% effective.

Pediatrics 161

Pediatrics CDC Seizures Infectious Diseases 161

Pediatric EM Morsels

NOVEMBER 3, 2023

This allowed US hospitals to stock the drug to ensure quick treatment of suspected severe cases, rather than having to ship it from the CDC under the prior expanded-access protocol (Thomas 2023). falciparum parasitemia , and no other defined cause of AMS (WHO 2023). falciparum parasitemia , and no other defined cause of AMS (WHO 2023).

Seizures 277

Seizures Pediatrics CDC Infectious Diseases 277

Pediatric EM Morsels

AUGUST 11, 2023

Having authored 575 ( well, now 576 ) of them, I am often quite convinced that there are no new topics to discuss. This is the 601st Ped EM Morsel ! Then July happens and we get 14 more amazing interns who help educate me and remind me that there is always more to learn.

Burns 130

Burns Pediatrics EMS Outcomes 130

Pediatric Education

JULY 30, 2023

Her family was well-aware of signs and symptoms that the papillomas were recurring and when this occurred she slowly developed a raspy voice. Published online January 18, 2023. Over the past 6 months she has only needed 1 surgical treatment and was currently asymptomatic. They denied any other papillomas on her body. J Laryngol Otol.

Infectious Diseases 40

Infectious Diseases Pediatrics Wellness 40

PulmCCM

OCTOBER 30, 2023

Professional Medical Societies Call for Elimination of SEP-1 The Infectious Diseases Society of America (IDSA), along with societies for emergency medicine physicians and hospitalists, are again speaking up about the ongoing policy experiment known as the Centers for Medicare and Medicaid Severe Sepsis/Septic Shock Management Bundle (SEP-1).

Sepsis 52

Sepsis Shock Hospitals Outcomes 52

Taming the SRU

AUGUST 30, 2023

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. A 2015 meta-analysis of 9 studies consisting of 725 patients published in the International Journal of Infectious Diseases found PCT far superior to CRP, with PCT having a sensitivity of 90 and specificity of 98% [36]. N Engl J Med.

Infectious Diseases 86

Infectious Diseases Sepsis Emergency Department Point-of-Care Testing 86

EMDocs

JANUARY 11, 2024

Author: Brit Long, MD (@long_brit) // Reviewed by Alex Koyfman, MD (@EMHighAK) The American Heart Association (AHA) and Neurocritical Care Society (NCS) released their 2023 Scientific Statement on the critical care management of post ROSC patients. 2023 Dec 1. There are no hard MAP recommendations. Neurocrit Care. Epub ahead of print.

Seizures 75

Seizures Shock Infectious Diseases CPR 75

EMDocs

APRIL 27, 2024

Infectious diseases , 4 (1), 34–39. Infectious diseases, 4(1), 34–39. Updated 2023 Apr 8]. Updated 2023 Apr 8]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. and Staphylococcus spp. 2 F ungal involvement (usually Aspergillus fumigatus ), especially in immunocompromised patients.

EMS 83

EMS Infectious Diseases Radiology Radiology 83

EM Literature of Note

SEPTEMBER 13, 2024

since August 2023. These authors compare the burden of lower respiratory tract infections and bronchiolitis admissions at 15 pediatric emergency departments across 2018 to 2024, with 2023-24 being the first season where nirsevimab was in wide usage.

Emergency Department 87

Emergency Department Pediatrics Administration Wellness 87

ACEP Now

MAY 10, 2024

Patients with flank pain (which would suggest pyelonephritis) as well as patients meeting two or more SIRS criteria (which would suggest sepsis) comprise a higher risk group. Published online 2023. Clinical Infectious Diseases. Let’s look at three young female patients with differing symptom severities.

Infectious Diseases 98

Infectious Diseases Sepsis Administration Emergency Department 98

EMDocs

JULY 15, 2023

The patient reported feeling better, pain and other symptoms were well controlled 24 hours after starting antibiotics and pain medication. The border may be raised, but erysipelas does not cause overt superficial skin lesions that other infectious rashes might cause (e.g., Retrieved March 2, 2023, from [link] Levine, B.

EMS 66

EMS Infectious Diseases Shock Ultrasounds 66

Don't Forget the Bubbles

FEBRUARY 28, 2024

2023; doi: 10.1159/000531034. The researchers concluded that oral brivudine offers an effective, well-tolerated therapy in immunocompromised children and could be used as an outpatient treatment. European Journal of clinical microbiology and infectious diseases. 2023; doi: 10.1159/000531034. Chemotherapy.

Pediatrics 59

Pediatrics Infectious Diseases Outcomes Research 59

Pediatric Education

SEPTEMBER 1, 2024

Smallpox is an ancient disease and an especially well-known cause of severe morbidity and mortality and therefore was used as a curse or epiphet. The lesions are 7-10 mm in diameter, round, firm, deep-seated and well circumscribed… ” Lesions tend to appear more on the forearms and face than rest of the body.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Sepsis 40

Pediatric Education

JUNE 25, 2023

Borates can cause skin irritation and there can be some reproductive changes as well. Related Cases Disease: Ear Infections Symptom/Presentation: Ear Pain Specialty: Otolaryngology | Infectious Diseases Age: Teenager To Learn More To view pediatric review articles on this topic from the past year check PubMed.

Infectious Diseases 40

Infectious Diseases Pediatrics Seizures Outcomes 40

RebelEM

AUGUST 3, 2023

JAMA Intern Med 2023. JAMA Intern Med 2023. Paper: Copaescu AM et al. Efficacy of a Clinical Decision Rule to Enable Direct Oral Challenge in Patients With Low-Risk Penicillin Allergy: The PALACE Randomized Trial. References: Copaescu AM et al.

Anaphylaxis 52

Anaphylaxis Allergic Reactions Outcomes Infectious Diseases 52

Pediatric Education

MAY 14, 2023

The pathophysiology is not well understood but is thought to begin with increased intracranial pressure leading to increased catecholamines and sympathetic storm, which then leads to systemic vasoconstriction and accumulating blood in the pulmonary system. Accessed February 6, 2023. Am Fam Physician. 2020;101(12):730-738.

Pediatrics 40

Pediatrics Infectious Diseases Burns Wellness 40

EMDocs

DECEMBER 18, 2023

1 However, given that the benefit for patients with sepsis who are not in shock is not as apparent if the diagnosis is unclear, antibiotics can be delayed for up to three hours to allow further infectious workup and avoid inappropriate antibiotic delivery. Accessed June 10, 2023. J Intensive Care Med. 2020;323(10):938–949. J Clin Med.

Sepsis 65

Sepsis Fluid Resuscitation Shock Resuscitation 65